Respiratory failure & ventilation

Lower versus higher oxygenation targets in hypoxaemic intensive care unit (ICU) patients after cardiac arrest

ResuscitationPublished Secondary analysis of the Handling Oxygenation Targets in the ICU (HOT-ICU) randomised trial

Primary result · MortalityResult — go to the resultAdjusted relative risk 1.09 95% CI 0.92–1.28

Authors' conclusion

A lower oxygenation target in adult ICU patients with hypoxaemic respiratory failure after cardiac arrest did not result in lower mortality, but fewer SAEs occurred in this group compared to the higher-oxygenation group.

Study context

Population
Adult ICU patients with hypoxaemic respiratory failure after cardiac arrestcardiac arrest subgroup
Participants
335 patients
Comparison
Lower vs higher oxygenation target
  • Lower-oxygenationn = 149
  • Higher-oxygenationn = 186reference
Primary endpoint
Mortality
Follow-up
Up to 90 days
Methodological detailssubgroup analysis, international, exploratory
  • Subgroup analysis
  • International
  • Exploratory

Primary result

As reported in the abstract

Adjusted relative risk

1.09

95% CI 0.92–1.28

P = 0.32

Events by treatment group

Lower-oxygenation vs Higher-oxygenation
adjusted RR 1.09 (95% CI 0.92–1.28); P = 0.32

Secondary outcomes

OutcomeAdjusted RR (95% CI)P value
Mortality · up to one year1.05 (0.90–1.21)P = 0.53

Other secondary outcomes

No statistically significant differences

Safety

OutcomeLower-oxygenationHigher-oxygenationAdjusted RR (95% CI)P value
SAEs in the ICUMainly more new shock episodes with higher target23%38%0.61 (0.43–0.86)P = 0.005

Original publication

Lower versus higher oxygenation targets in hypoxaemic ICU patients after cardiac arrest. Resuscitation. Published 16 May 2023. doi:10.1016/j.resuscitation.2023.109838

Composed by AI from the published abstract and checked against it. How Briefs are made →

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